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Biomedical subjects

R D Oles

Publications and source records attributed to R D Oles.

At least 19 recordsLinked to original sources
PubMed1995

Immediate implant post-surgical complications.

Immediate surgical implants provide a convenient means of replacing missing teeth without requiring hard tissue reduction of restoration-free potential fixed partial denture abutments. Although the procedure is described as "predictable," complications and failures do occur. This report presents four cases of immediate implant complications and their management, and discusses possible causes of the untoward results. Careful pre-operative planning, adequate surgical technique and post-surgical management, timely and suitable loading, and meticulous hygiene maintenance can serve to minimize implant complications and failures. The prospective immediate implant patient must be provided with sufficient information to allow informed consent to be given. Minimal requirements are a description of the procedures in terms the patient can understand, an explanation of potential risks and complications, and adequate disclosure of information about alternative therapies.

Adolescent↗
PubMed1990

Occlusal adjustment.

Occlusal adjustment is a misunderstood and underutilized procedure that is often indicated in the management of occlusion-related disorders. To clarify the confusion extant about occlusal adjustment and to encourage its use, when appropriate, this paper examines optimal, normal and abnormal occlusions, classifies abnormal occlusions according to morphological and functional characteristics and treatment needs, and presents a rationale for occlusal adjustment based on these concepts. Differences between occlusal adjustment, occlusal equilibration and selective grinding are discussed, occlusal interferences are defined and described and the indications and contraindications for occlusal adjustment are presented.

Dental Occlusion↗
PubMed1985

Effects of citric acid treatment on autogenous free graft coverage of localized recession.

Citric acid root conditioning prior to free gingival autograft (FGA) coverage of denuded roots may increase the likelihood of reattachment, but controlled studies to determine the value of the procedure have not been done on human subjects. This investigation was done to compare the effects of FGA root coverage with and without citric acid pretreatment. Nineteen patients with 30 affected teeth participated in the study. Fifteen teeth received FGAs without citric acid pretreatment and 15 teeth received FGAs with citric acid pretreatment. Measurements of gingival recession and sulcus depth were made preoperatively and 30, 60 and 90 days following the surgical procedure. Free gingival autografts with and without citric acid pretreatment each significantly reduced the amount of exposed root, but no differences between groups were found. Except for the 90-day single tooth control group, mean sulcus depths were significantly decreased at 30, 60 and 90 days, but there were no differences noted between single tooth citric acid and control groups or multiple tooth citric acid and control groups. Citric acid treatment of affected roots prior to FGA coverage does not appear to be justifiable.

Adult↗
PubMed1985

Effects of citric acid treatment on pedicle flap coverage of localized recession.

Citric acid conditioning of denuded roots prior to laterally positioned pedicle flap (LPPF) coverage may increase the likelihood of reattachment, but no controlled studies to determine the efficacy of the procedure in managing naturally occurring defects in humans have been reported. This investigation compared the effects of LPPF root coverage with and without citric acid (pH1) pretreatment in a group of patients with gingival recession and associated denuded roots. Thirty-six patients participated in the study. Eighteen received LPPFs without citric acid pretreatment and 18 received LPPFs with citric acid pretreatment. Gingival recession and sulcus depth were measured preoperatively and 30, 60 and 90 days after the surgical procedure. LPPFs both with and without citric acid pretreatment reduced significantly the amount of exposed root, but no differences between groups were found. For sulcus depth, the 90-day value for the citric acid group was significantly increased over the preoperative level, but no other changes were noted. There appears to be no clinical justification for using citric acid conditioning as an adjunct to LPPF coverage of denuded roots.

Adult↗
PubMed1977

Glucose intolerance associated with temporomandibular joint pain-dysfunction syndrome.

In order to eliminate any disease process, it is necessary to identify and eliminate etiologic factors associated with the disease process. Reactive hypoglycemia, a common and easily treated disorder, may be a significant factor associated with development of the TMJ syndrome. Five case histories have been presented of patients who exhibited reactive hypoglycemia associated with the TMJ syndrome and who were treated with a combination of occlusal therapy and dietotherapy. Dietotherapy may have reduced the "psychic tension" associated with the TMJ symdrome.

Adult↗